Individual provider Active NPI

Lisa W Barak-Freedman, CRNA

  • Certified Registered Nurse Anesthetist
  • Pontiac, MI
National Provider Identifier
1790712586
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704147167 Issued in MI
Practice address
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone
(248) 586-6539
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704147167 MI Primary

Addresses

Primary practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Mailing address

255 W Michigan Ave
P O Box 1123
Jackson, MI 49204-1123
Phone (517) 787-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000811 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719956929 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Lake Anesthesiology Consultants PLCGroup PAC ID 7113818980, 94 clinicians

Practice addresses (Care Compare)

23901 Lahser Rd
Southfield, MI 48033-6035
Phone (248) 357-3360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704147167MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2019 Accepting new patients
Straith Hospital for Special Surgery Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2016 Accepting new patients
Straith Hospital for Special Surgery Current Accepting new patients
Long Lake Anesthesiology Consultants, PLC CurrentSince Oct 1, 2025 Accepting new patients
Straith Hospital for Special Surgery CurrentSince Jun 1, 2018 Accepting new patients
Midwest Anesthesia Resources, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Superior Anesthetists Associates, Inc. Past Accepting new patients
Straith Hospital for Special Surgery Past Accepting new patients
Cataract Specialty Surgical Center, LLC Past Accepting new patients
St. Joseph Mercy Hospital Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2009 Momentum Pl
Chicago, IL 60689

28747 Woodward Ave
Berkley, MI 48072
Phone (248) 471-3058

701 S Ballenger Hwy
Flint, MI 48532
Phone (810) 238-3603

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

3455 Livernois Rd
Troy, MI 48083
Phone (248) 619-2020

2300 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 863-9254

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1790712586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "P O BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492041123",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-586-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAK-FREEDMAN",
        "first_name": "LISA",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704147167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.